General medicine case 1

 1Q) Anatomical and etiologic localization for hemiparesis and further management? 2Q) Etiology pathogenesis and clinical features management complications of acute pancreatitis. 3Q) Dengue fever clinical features and complications . 4Q)Cushing syndrome . 5Q) Mandibular advancement device. 6Q) Cardiogenic pulmonary edema. 7Q)Rheumatoid arthritis.  8Q) Leptospirosis.               9Q) Heart failure.  10Q) Ascites.   11Q) Pyrexia of unknown origin. 12Q) Drug induced liver injury. 13Q) Evaluation of low back ache. 14Q)Renal artery stenosis. 15Q)Acute kidney injury.  16Q)Oral hypoglycemic agent. 17Q)Microvascular and macrovascular components of diabetes. 18Q)Lights criteria.  19Q)Metabilic acidosis. 20Q) Iron deficiency anemia. 

  August 16, 2021  Date of admission:07/08/2021 A 45 year old female presented to the OPD with chief complaints of fever, vomiting,diarrhoea.  History of present illness: Patient was apparently asymptomatic 6 months back before standing illness, then 2 days back patient was presented to casualty with with intermittent fever, vomiting 20 episodes, diarrhoea 20 episodes. There is a sudden loss of weight since 2 months.  It all started 6 months back where the patient had the complaints of fever and has taken the treatment from a local doctor and was fine for nearly 2 months. After 2 months, fever has recurred and this time the patient even complains of weight loss. The normal treatment was done. Then, patient was normal for 15 days. After that patient was admitted in some hospital with fever, vomiting, diarrhoea on 26/7/21.Normal treatment was taken and was apparently better until 31/7/21 as given by patient. On 07/08/2021 was admitted to kamineni due to recurrent fever and 20 episodes of

  A 56 year old male came with complaints of abdominal distension from 2 days  Pt was apparently asymptomatic 2 and half months back ,then he developed pedal edema -pitting type grade 1 then gradually progressed to grade 2 over 10 days to grade 3 over 15 days He first developed left lower limb swelling extending upto his ankle and he later gradually developed swelling of his right lower limb and the swelling in both his lower limbs extended upto his thighs no complaints of fever, cough, burning micturation, loose stools, vomiting No complaints of dyspnea, hematuria, frothy urine, no complaints of Chest pain, palpitations, orthopnea, PND H/o pulmonary koch's 22 yrs back ,used ATT for 6 months HTN since 2 months PERSONAL HISTORY Married Appetite-decreased Regular bowel and bladder movements Occasionally alcoholic GENERAL EXAMINATION :  Patient is conscious, coherent and cooperative   Moderately built and moderately nourished  Pallor present ,grade 3 clubbing No Icterus, cyanosis Lymp